Healthcare Provider Details
I. General information
NPI: 1598671356
Provider Name (Legal Business Name): AMERICAN YOUNG HEARTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27727 VIA DE LA REAL
MORENO VALLEY CA
92555-5803
US
IV. Provider business mailing address
27727 VIA DE LA REAL
MORENO VALLEY CA
92555-5803
US
V. Phone/Fax
- Phone: 951-840-7662
- Fax:
- Phone: 951-840-7662
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
BELINDA
SPEARS
Title or Position: CEO
Credential: LMFT
Phone: 951-840-7662